October 26 2023
Lab: Hitoshi Takizawa
GPRC5C Drives Branched-Chain Amino Acid Metabolism in Leukemogenesis
Blood Advances 2023/8/28 doi: 10.1182/bloodadvances.2023010460
Gprc5c drives AML progression through regulating BCAAs transporters, SLC7A5 and SLC43A1
Inhibition of SLC7A5 using JPH203 elicits strong anti-leukemic effects in AML, effect, strengthened by venetoclax and azacitidine treatment
Leukemia stem cells (LSCs) share numerous features with healthy hematopoietic stem cells (HSCs). G-protein coupled receptor family C group 5 member C (GPRC5C) is a regulator of HSC dormancy. However, GPRC5C functionality in acute myeloid leukemia (AML) is yet to be determined. Within patient AML cohorts, high GPRC5C levels correlated with poorer survival. Ectopic Gprc5c expression increased AML aggression through activation of NF-κB, which resulted in an altered metabolic state with increased levels of intracellular branched-chain amino acids (BCAAs). This onco-metabolic profile was reversed upon loss of Gprc5c, which also abrogated the leukemia-initiating potential. Targeting the BCAA transporter SLC7A5 with JPH203 inhibited oxidative phosphorylation and elicited strong anti-leukemia effects, specifically in mouse and patient AML samples while sparing healthy bone marrow (BM) cells. This anti-leukemia effect was strengthened in the presence of venetoclax and azacitidine. Our results indicate that the GPRC5C-NF-κB-SLC7A5-BCAAs axis is a therapeutic target that can compromise leukemia stem cell function in AML.